Jason James Charkalis, D.C.
Individual provider Active NPI Chiropractor · Stowe, VT
NPI 1073740973 · NPPES record last updated Jun 18, 2009
Key facts
- NPI
- 1073740973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 006.0046452 (VT)
- Practice address
- 188 South Main St.
Stowe, VT 05672-4375 - Phone
- (802) 253-7004
- Fax
- (802) 253-0867
- NPI assigned
- Jun 18, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
188 S Main St
Stowe, VT 05672-4649
Phone (802) 253-7004
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180614002845 | VT | Practitioner - Chiropractic | 6103171103 | Practice locations: Stowe, VT |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 006.0046452 | VT | Yes |
Addresses
Primary practice location
188 South Main St.
Stowe, VT 05672-4375
Mailing address
188 South Main St.
Stowe, VT 05672-4375
Phone (802) 253-7004
Other providers in Stowe, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.